Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $144.84 / $514.12	Professional		$58.80	$144.84	$514.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $22.84 / $39.52	Professional	26	$11.90	$22.84	$39.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.90 / $76.97 / $135.22	Professional	TC	$46.90	$76.97	$135.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $18.05 / $18.05	Professional	26	$18.05	$18.05	$18.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $34.85 / $157.47	Professional		$34.85	$34.85	$157.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $9.50 / $36.96	Professional	26	$9.50	$9.50	$36.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.34 / $25.34 / $117.79	Professional	TC	$25.34	$25.34	$117.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.22 / $15.12 / $27.99	Facility	26	$14.22	$15.12	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $50.34 / $143.90	Professional		$41.93	$50.34	$143.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $11.29 / $36.95	Professional	26	$10.65	$11.29	$36.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.82 / $39.68 / $112.35	Professional	TC	$30.82	$39.68	$112.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $86.17 / $137.06	Professional		$19.11	$86.17	$137.06
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.16 / $19.57 / $31.15	Professional	26	$5.16	$19.57	$31.15
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.94 / $66.58 / $105.89	Professional	TC	$13.94	$66.58	$105.89
United Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $59.11 / $157.63	Professional		$46.62	$59.11	$157.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $13.93 / $36.96	Professional	26	$13.19	$13.93	$36.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.09 / $45.25 / $120.67	Professional	TC	$33.09	$45.25	$120.67